09042013 Ag Ab Interactions

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    o immune-mediated hemolytic anemia.

    o Hemolytic disease of the newborn

    (ABO, Rh)

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    o identify antibodies present in a

    patient's serum prior before blood

    transfusion.

    o Blood transfusion preparation.

    o Antenatal antibody screening.

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    Aggregation ofparticulate antigens

    bound with agglutinins of more than

    one specificity.

    Example: coagglutination

    staphylococcus aureusprotein A for

    serotyping strains of

    Streptococc us pneumo niae,

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    o Example: Influenza virus

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    o Heterophiles antibodies tests (Monospot test, PaulBunnell test):o agglutination of the horse RBCs by heterophile antibodies in

    patient's serum for rapid diagnosis of EBV infectiousmononucleosis.

    o Cold agglutnin test:o Cold agglutinins are antibodies made by the immune system in

    response to infection having the ability to agglutinate RBC in Lowtemperature. E.g. Mycoplasma pneumoniae

    o Weil felix test:o it is agglutination test for the diagnosis ofrickettsialinfections.

    o based on the presence of antigenic cross-reactionbetween Rickettsia and certain serotypes of Proteus

    o VDRL: screening for syphilis caused by treponema

    pallidum.

    o Widal test: standard tube agglutination test forsalmonella typhi.

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    oIt is a reaction in which the Abinteract with a free soluble Ag .

    oAt the optimum concentration

    ,positive reaction form a precipitin

    line

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    oThis is precipitation reaction to

    test identity between two antigens

    or between two antibodies

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    oThis is precipitation reaction to

    test identity between two antigens

    or between two antibodies

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    Ag

    Mg/ml

    Diameter /mm

    Sample

    Diameter

    Sample

    concentration

    oThis is precipitation reaction to

    test presence of entire subclass of

    immunoglobulin by applying

    specific antiglobulin forming a

    precipitation rings.

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    oThis is method to separate the serum by electrophoresis.

    oCreate a trench containing specific anti serum.

    oDiffusion of both serum and anti serum forming a precipitin lines

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    o technique used to detectspecific proteins in the givensample.

    o It uses gelelectrophoresis to separateproteins (or polypeptide) andare then transferred to amembrane.

    o (nitrocellulose) where they

    are stained with labledantibodies specific to thetarget protein.

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    SampleABTest Ag Enzym linked Ab Enzyme substrate

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    oAntibodies containing fluorescent dye react with serum

    (either Ag or Specific Ab)..

    oPositive reaction is shown under fluorescent microscope.

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    The toxin( hemolysin) sample (serum) Ab RBC lysed with the toxin

    oTesting the presence of the

    antitoxin in the serum.

    oIf they are present the toxin

    will be neutralized .RBCs not

    lysed.

    oIf there is no antitoxin the

    toxin will lyse the RBCs

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    The toxin( hemolysin) sample (serum) Ab RBC lysed with the toxin

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    o Testing immunity of the patient against diphtheria.

    o 0.2 ml of the diphtheria toxin in the test forearm and 0.2 ml of

    inactivated diphtheria toxin (by heat ) in the control forearm.

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    oPreparing sensitized complement & two

    systems:

    oSystem1:oContaing serum sample & prepared

    antigen

    oSystem 2 (indicator system):

    ocontaining sensitized sheep RBCs

    & Ab to sheep RBCs.

    oIn +ve reaction the serum containing Abwill react with the Ag the complement will

    be consumed by system 1 (RBCs will not

    be lysed)..

    oIn ve reaction where there is no Ab in

    the serum so the complement will

    consumed by system 2 (RBCs will belysed).Tes t Ag Sam ple A B com plem ent Sheep RB C A b t o sheep RB C

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    Sample ABTest Ag complement Ab to sheep RBCSheep RBC

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    oThis a solid phase reaction through

    which the serum antibody will be

    captured to the wells using capture

    Ag.

    oAn Antihuman globulin conjugate

    containing chromogenic enzyme will

    react with the sample Ab.

    oAdding enzyme substrate will

    produce colour on the well.

    oSo +ve test is manifested by

    presenece of colour , in ve testthere is no colour.

    http://localhost/var/www/apps/conversion/tmp/scratch_9/ELISA.mov
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    Sample ABAg Enzym linked Ab Enzyme substrate

    http://localhost/var/www/apps/conversion/tmp/scratch_9/ELISA.mov
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    oThis a solid phase reaction through

    which the serum antibody will be

    captured to the wells using capture

    Ag.

    oThe conjugate here is directed to the

    Ag i.e. the sample and conjugate will

    compete each other.

    oAdding enzyme substrate will not

    produce colour on the well.

    oSo +ve reaction is manifested by no

    colour , -ve reaction there is a colour.

    http://localhost/var/www/apps/conversion/tmp/scratch_9/ELISA.mov
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    Sample ABAg Enzym linked Ab Enzyme substrate

    http://localhost/var/www/apps/conversion/tmp/scratch_9/ELISA.mov
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    oThis a solid phase reaction through

    which the serum antigen will be

    captured to the wells using capture

    Ab.

    oThe conjugate here is directed to the

    Ag i.e. the Ag will be sandwiched

    between capture & test Abs

    oAdding enzyme substrate will

    produce colour on the well.

    oSo +ve test is manifested by

    presenece of colour , in ve test thereis no colour.

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    ABSampleAg Enzym linked Ab Enzyme substrate

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    o is a biophysical laser basedtechnology employed in cellcounting, cell marker detection,allowing synchronized analysis ofthe physical

    and chemical characteristics of upto thousands of particles persecond.

    o

    Example: used in thediagnosis blood cancers, and CD4cell counting in AIDS patients

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    o rapid and easy.o Antigen-antibody immune

    complexes flow through a

    region and encounter

    antibody against them,

    resulting in a visible coloured

    line

    o E.g Used in rapid diagnosis of

    Malaria

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    http://localhost/var/www/apps/conversion/MICRO%202007/PROTOZOA/ICTF.exe